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  <title>个人资料页面 Bootstrap响应式后台管理系统模版Mac - JS代码网</title> 
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  <!-- Stylesheets -->
  <link href="style/bootstrap.css" rel="stylesheet">
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  <!-- jQuery UI -->
  <link rel="stylesheet" href="style/jquery-ui.css"> 
  <!-- Calendar -->
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  <link href="style/widgets.css" rel="stylesheet">   
  
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<body>

<div class="navbar navbar-fixed-top bs-docs-nav" role="banner">
  
    <div class="conjtainer">
      <!-- Menu button for smallar screens -->
      <div class="navbar-header">
		  <button class="navbar-toggle btn-navbar" type="button" data-toggle="collapse" data-target=".bs-navbar-collapse">
			<span>Menu</span>
		  </button>
		  <!-- Site name for smallar screens -->
		  <a href="index.html" class="navbar-brand hidden-lg">MacBeth</a>
		</div>
      
      

      <!-- Navigation starts -->
      <nav class="collapse navbar-collapse bs-navbar-collapse" role="navigation">         

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          <!-- Upload to server link. Class "dropdown-big" creates big dropdown -->
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            <!-- Dropdown -->
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              <li>
                <!-- Progress bar -->
                <p>Photo Upload in Progress</p>
                <!-- Bootstrap progress bar -->
                <div class="progress progress-striped active">
					<div class="progress-bar progress-bar-info"  role="progressbar" aria-valuenow="40" aria-valuemin="0" aria-valuemax="100" style="width: 40%">
						<span class="sr-only">40% Complete</span>
					</div>
			    </div>

                <hr />

                <!-- Progress bar -->
                <p>Video Upload in Progress</p>
                <!-- Bootstrap progress bar -->
                <div class="progress progress-striped active">
					<div class="progress-bar progress-bar-success"  role="progressbar" aria-valuenow="80" aria-valuemin="0" aria-valuemax="100" style="width: 80%">
						<span class="sr-only">80% Complete</span>
					</div>
			    </div> 

                <hr />             

                <!-- Dropdown menu footer -->
                <div class="drop-foot">
                  <a href="#">View All</a>
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              </li>
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          </li>

          <!-- Sync to server link -->
          <li class="dropdown dropdown-big">
            <a href="#" class="dropdown-toggle" data-toggle="dropdown"><span class="label label-danger"><i class="icon-refresh"></i></span> Sync with Server</a>
            <!-- Dropdown -->
            <ul class="dropdown-menu">
              <li>
                <!-- Using "icon-spin" class to rotate icon. -->
                <p><span class="label label-info"><i class="icon-cloud"></i></span> Syncing Members Lists to Server</p>
                <hr />
                <p><span class="label label-warning"><i class="icon-cloud"></i></span> Syncing Bookmarks Lists to Cloud</p>

                <hr />

                <!-- Dropdown menu footer -->
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			<div class="form-group">
				<input type="text" class="form-control" placeholder="Search">
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		</form>
        <!-- Links -->
        <ul class="nav navbar-nav pull-right">
          <li class="dropdown pull-right">            
            <a data-toggle="dropdown" class="dropdown-toggle" href="#">
              <i class="icon-user"></i> Admin <b class="caret"></b>              
            </a>
            
            <!-- Dropdown menu -->
            <ul class="dropdown-menu">
              <li><a href="#"><i class="icon-user"></i> Profile</a></li>
              <li><a href="#"><i class="icon-cogs"></i> Settings</a></li>
              <li><a href="login.html"><i class="icon-off"></i> Logout</a></li>
            </ul>
          </li>
          
        </ul>
      </nav>

    </div>
  </div>


<!-- Header starts -->
  <header>
    <div class="container">
      <div class="row">

        <!-- Logo section -->
        <div class="col-md-4">
          <!-- Logo. -->
           <div class="logo">
            <h1><a href="#">Mac<span class="bold"></span></a></h1>
            <p class="meta">后台管理系统</p>
          </div>
          <!-- Logo ends -->
        </div>

        <!-- Button section -->
        <div class="col-md-4">

          <!-- Buttons -->
          <ul class="nav nav-pills">

            <!-- Comment button with number of latest comments count -->
            <li class="dropdown dropdown-big">
              <a class="dropdown-toggle" href="#" data-toggle="dropdown">
                <i class="icon-comments"></i> Chats <span   class="label label-info">6</span> 
              </a>

                <ul class="dropdown-menu">
                  <li>
                    <!-- Heading - h5 -->
                    <h5><i class="icon-comments"></i> Chats</h5>
                    <!-- Use hr tag to add border -->
                    <hr />
                  </li>
                  <li>
                    <!-- List item heading h6 -->
                    <h6><a href="#">Hi :)</a> <span class="label label-warning pull-right">10:42</span></h6>
                    <div class="clearfix"></div>
                    <hr />
                  </li>
                  <li>
                    <h6><a href="#">How are you?</a> <span class="label label-warning pull-right">20:42</span></h6>
                    <div class="clearfix"></div>
                    <hr />
                  </li>
                  <li>
                    <h6><a href="#">What are you doing?</a> <span class="label label-warning pull-right">14:42</span></h6>
                    <div class="clearfix"></div>
                    <hr />
                  </li>                  
                  <li>
                    <div class="drop-foot">
                      <a href="#">View All</a>
                    </div>
                  </li>                                    
                </ul>
            </li>

            <!-- Message button with number of latest messages count-->
            <li class="dropdown dropdown-big">
              <a class="dropdown-toggle" href="#" data-toggle="dropdown">
                <i class="icon-envelope-alt"></i> Inbox <span class="label label-primary">6</span> 
              </a>

                <ul class="dropdown-menu">
                  <li>
                    <!-- Heading - h5 -->
                    <h5><i class="icon-envelope-alt"></i> Messages</h5>
                    <!-- Use hr tag to add border -->
                    <hr />
                  </li>
                  <li>
                    <!-- List item heading h6 -->
                    <h6><a href="#">Hello how are you?</a></h6>
                    <!-- List item para -->
                    <p>Quisque eu consectetur erat eget  semper...</p>
                    <hr />
                  </li>
                  <li>
                    <h6><a href="#">Today is wonderful?</a></h6>
                    <p>Quisque eu consectetur erat eget  semper...</p>
                    <hr />
                  </li>
                  <li>
                    <div class="drop-foot">
                      <a href="#">View All</a>
                    </div>
                  </li>                                    
                </ul>
            </li>

            <!-- Members button with number of latest members count -->
            <li class="dropdown dropdown-big">
              <a class="dropdown-toggle" href="#" data-toggle="dropdown">
                <i class="icon-user"></i> Users <span   class="label label-success">6</span> 
              </a>

                <ul class="dropdown-menu">
                  <li>
                    <!-- Heading - h5 -->
                    <h5><i class="icon-user"></i> Users</h5>
                    <!-- Use hr tag to add border -->
                    <hr />
                  </li>
                  <li>
                    <!-- List item heading h6-->
                    <h6><a href="#">Ravi Kumar</a> <span class="label label-warning pull-right">Free</span></h6>
                    <div class="clearfix"></div>
                    <hr />
                  </li>
                  <li>
                    <h6><a href="#">Balaji</a> <span class="label label-important pull-right">Premium</span></h6>
                    <div class="clearfix"></div>
                    <hr />
                  </li>
                  <li>
                    <h6><a href="#">Kumarasamy</a> <span class="label label-warning pull-right">Free</span></h6>
                    <div class="clearfix"></div>
                    <hr />
                  </li>                  
                  <li>
                    <div class="drop-foot">
                      <a href="#">View All</a>
                    </div>
                  </li>                                    
                </ul>
            </li> 

          </ul>

        </div>

        <!-- Data section -->

        <div class="col-md-4">
          <div class="header-data">

            <!-- Traffic data -->
            <div class="hdata">
              <div class="mcol-left">
                <!-- Icon with red background -->
                <i class="icon-signal bred"></i> 
              </div>
              <div class="mcol-right">
                <!-- Number of visitors -->
                <p><a href="#">7000</a> <em>visits</em></p>
              </div>
              <div class="clearfix"></div>
            </div>

            <!-- Members data -->
            <div class="hdata">
              <div class="mcol-left">
                <!-- Icon with blue background -->
                <i class="icon-user bblue"></i> 
              </div>
              <div class="mcol-right">
                <!-- Number of visitors -->
                <p><a href="#">3000</a> <em>users</em></p>
              </div>
              <div class="clearfix"></div>
            </div>

            <!-- revenue data -->
            <div class="hdata">
              <div class="mcol-left">
                <!-- Icon with green background -->
                <i class="icon-money bgreen"></i> 
              </div>
              <div class="mcol-right">
                <!-- Number of visitors -->
                <p><a href="#">5000</a><em>orders</em></p>
              </div>
              <div class="clearfix"></div>
            </div>                        

          </div>
        </div>

      </div>
    </div>
  </header>

<!-- Header ends -->

<!-- Main content starts -->

<div class="content">

  	<!-- Sidebar -->
    <div class="sidebar">
        <div class="sidebar-dropdown"><a href="#">Navigation</a></div>

        <!--- Sidebar navigation -->
        <!-- If the main navigation has sub navigation, then add the class "has_sub" to "li" of main navigation. -->
        <ul id="nav">
          <!-- Main menu with font awesome icon -->
          <li><a href="index.html"><i class="icon-home"></i> Dashboard</a>
            <!-- Sub menu markup 
            <ul>
              <li><a href="#">Submenu #1</a></li>
              <li><a href="#">Submenu #2</a></li>
              <li><a href="#">Submenu #3</a></li>
            </ul>-->
          </li>
          <li class="has_sub"><a href="#"><i class="icon-list-alt"></i> Widgets  <span class="pull-right"><i class="icon-chevron-right"></i></span></a>
            <ul>
              <li><a href="widgets1.html">Widgets #1</a></li>
              <li><a href="widgets2.html">Widgets #2</a></li>
              <li><a href="widgets3.html">Widgets #3</a></li>
            </ul>
          </li>  
          <li class="has_sub"><a href="#" class="open"><i class="icon-file-alt"></i> Pages #1  <span class="pull-right"><i class="icon-chevron-right"></i></span></a>
            <ul>
              <li><a href="post.html">Post</a></li>
              <li><a href="login.html">Login</a></li>
              <li><a href="register.html">Register</a></li>
              <li><a href="support.html">Support</a></li>
              <li><a href="invoice.html">Invoice</a></li>
              <li><a href="profile.html">Profile</a></li>
              <li><a href="gallery.html">Gallery</a></li>
            </ul>
          </li> 
          <li class="has_sub"><a href="#"><i class="icon-file-alt"></i> Pages #2  <span class="pull-right"><i class="icon-chevron-right"></i></span></a>
            <ul>
              <li><a href="media.html">Media</a></li>
              <li><a href="statement.html">Statement</a></li>
              <li><a href="error.html">Error</a></li>
              <li><a href="error-log.html">Error Log</a></li>
              <li><a href="calendar.html">Calendar</a></li>
              <li><a href="grid.html">Grid</a></li>
            </ul>
          </li>                             
          <li><a href="charts.html"><i class="icon-bar-chart"></i> Charts</a></li> 
          <li><a href="tables.html"><i class="icon-table"></i> Tables</a></li>
          <li><a href="forms.html"><i class="icon-tasks"></i> Forms</a></li>
          <li><a href="ui.html"><i class="icon-magic"></i> User Interface</a></li>
          <li><a href="calendar.html"><i class="icon-calendar"></i> Calendar</a></li>
        </ul>
    </div>

    <!-- Sidebar ends -->

  	<!-- Main bar -->
  	<div class="mainbar">
      
	    <!-- Page heading -->
	    <div class="page-head">
        <!-- Page heading -->
	      <h2 class="pull-left">Profile
          <!-- page meta -->
          <span class="page-meta">Something Goes Here</span>
        </h2>


        <!-- Breadcrumb -->
        <div class="bread-crumb pull-right">
          <a href="index.html"><i class="icon-home"></i> Home</a> 
          <!-- Divider -->
          <span class="divider">/</span> 
          <a href="#" class="bread-current">Profile</a>
        </div>

        <div class="clearfix"></div>

	    </div>
	    <!-- Page heading ends -->



	    <!-- Matter -->

	    <div class="matter">
        <div class="container">

          <div class="row">

            <div class="col-md-12">

              <div class="widget wred">
                <div class="widget-head">
                  <div class="pull-left">Profile</div>
                  <div class="widget-icons pull-right">
                    <a href="#" class="wminimize"><i class="icon-chevron-up"></i></a> 
                    <a href="#" class="wclose"><i class="icon-remove"></i></a>
                  </div>
                  <div class="clearfix"></div>
                </div>

                <div class="widget-content">
                  <div class="padd">
                    
                    <!-- Profile form -->
                   
                                    <div class="form profile">
                                      <!-- Edit profile form (not working)-->
                                      <form class="form-horizontal">
                                          <!-- Name -->
                                          <div class="form-group">
                                            <label class="control-label col-lg-3" for="name1">Name</label>
                                            <div class="col-lg-6">
                                              <input type="text" class="form-control" id="name1">
                                            </div>
                                          </div>   
                                          <!-- Email -->
                                          <div class="form-group">
                                            <label class="control-label col-lg-3" for="email1">Email</label>
                                            <div class="col-lg-6">
                                              <input type="text" class="form-control" id="email1">
                                            </div>
                                          </div>
                                          <!-- Telephone -->
                                          <div class="form-group">
                                            <label class="control-label col-lg-3" for="telephone">Telephone</label>
                                            <div class="col-lg-6">
                                              <input type="text" class="form-control" id="telephone">
                                            </div>
                                          </div>  
                                          <!-- Address -->
                                          <div class="form-group">
                                            <label class="control-label col-lg-3" for="address">Address</label>
                                            <div class="col-lg-6">
                                              <textarea class="form-control" id="address"></textarea>
                                            </div>
                                          </div>                           
                                          <!-- Country -->
                                          <div class="form-group">
                                            <label class="control-label col-lg-3">Country</label>
                                            <div class="col-lg-6">                               
                                                <select class="form-control">
                                                <option value=""> --- Please Select --- </option>
                                          <option value="1">Afghanistan</option>
                                                        <option value="2">Albania</option>
                                                        <option value="3">Algeria</option>
                                                        <option value="4">American Samoa</option>
                                                        <option value="5">Andorra</option>
                                                        <option value="6">Angola</option>
                                                        <option value="7">Anguilla</option>
                                                        <option value="8">Antarctica</option>
                                                        <option value="9">Antigua and Barbuda</option>
                                                        <option value="10">Argentina</option>
                                                        <option value="11">Armenia</option>
                                                        <option value="12">Aruba</option>
                                                        <option value="13">Australia</option>
                                                        <option value="14">Austria</option>
                                                        <option value="15">Azerbaijan</option>
                                                        <option value="16">Bahamas</option>
                                                        <option value="17">Bahrain</option>
                                                        <option value="18">Bangladesh</option>
                                                        <option value="19">Barbados</option>
                                                        <option value="20">Belarus</option>
                                                        <option value="21">Belgium</option>
                                                        <option value="22">Belize</option>
                                                        <option value="23">Benin</option>
                                                        <option value="24">Bermuda</option>
                                                        <option value="25">Bhutan</option>
                                                        <option value="26">Bolivia</option>
                                                        <option value="27">Bosnia and Herzegowina</option>
                                                        <option value="28">Botswana</option>
                                                        <option value="29">Bouvet Island</option>
                                                        <option value="30">Brazil</option>
                                                        <option value="31">British Indian Ocean Territory</option>
                                                        <option value="32">Brunei Darussalam</option>
                                                        <option value="33">Bulgaria</option>
                                                        <option value="34">Burkina Faso</option>
                                                        <option value="35">Burundi</option>
                                                        <option value="36">Cambodia</option>
                                                        <option value="37">Cameroon</option>
                                                        <option value="38">Canada</option>
                                                        <option value="39">Cape Verde</option>
                                                        <option value="40">Cayman Islands</option>
                                                        <option value="41">Central African Republic</option>
                                                        <option value="42">Chad</option>
                                                        <option value="43">Chile</option>
                                                        <option value="44">China</option>
                                                        <option value="45">Christmas Island</option>
                                                        <option value="46">Cocos (Keeling) Islands</option>
                                                        <option value="47">Colombia</option>
                                                        <option value="48">Comoros</option>
                                                        <option value="49">Congo</option>
                                                        <option value="50">Cook Islands</option>
                                                        <option value="51">Costa Rica</option>
                                                        <option value="52">Cote D'Ivoire</option>
                                                        <option value="53">Croatia</option>
                                                        <option value="54">Cuba</option>
                                                        <option value="55">Cyprus</option>
                                                        <option value="56">Czech Republic</option>
                                                        <option value="237">Democratic Republic of Congo</option>
                                                        <option value="57">Denmark</option>
                                                        <option value="58">Djibouti</option>
                                                        <option value="59">Dominica</option>
                                                        <option value="60">Dominican Republic</option>
                                                        <option value="61">East Timor</option>
                                                        <option value="62">Ecuador</option>
                                                        <option value="63">Egypt</option>
                                                        <option value="64">El Salvador</option>
                                                        <option value="65">Equatorial Guinea</option>
                                                        <option value="66">Eritrea</option>
                                                        <option value="67">Estonia</option>
                                                        <option value="68">Ethiopia</option>
                                                        <option value="69">Falkland Islands (Malvinas)</option>
                                                        <option value="70">Faroe Islands</option>
                                                        <option value="71">Fiji</option>
                                                        <option value="72">Finland</option>
                                                        <option value="73">France</option>
                                                        <option value="74">France, Metropolitan</option>
                                                        <option value="75">French Guiana</option>
                                                        <option value="76">French Polynesia</option>
                                                        <option value="77">French Southern Territories</option>
                                                        <option value="78">Gabon</option>
                                                        <option value="79">Gambia</option>
                                                        <option value="80">Georgia</option>
                                                        <option value="81">Germany</option>
                                                        <option value="82">Ghana</option>
                                                        <option value="83">Gibraltar</option>
                                                        <option value="84">Greece</option>
                                                        <option value="85">Greenland</option>
                                                        <option value="86">Grenada</option>
                                                        <option value="87">Guadeloupe</option>
                                                        <option value="88">Guam</option>
                                                        <option value="89">Guatemala</option>
                                                        <option value="90">Guinea</option>
                                                        <option value="91">Guinea-bissau</option>
                                                        <option value="92">Guyana</option>
                                                        <option value="93">Haiti</option>
                                                        <option value="94">Heard and Mc Donald Islands</option>
                                                        <option value="95">Honduras</option>
                                                        <option value="96">Hong Kong</option>
                                                        <option value="97">Hungary</option>
                                                        <option value="98">Iceland</option>
                                                        <option value="99">India</option>
                                                        <option value="100">Indonesia</option>
                                                        <option value="101">Iran (Islamic Republic of)</option>
                                                        <option value="102">Iraq</option>
                                                        <option value="103">Ireland</option>
                                                        <option value="104">Israel</option>
                                                        <option value="105">Italy</option>
                                                        <option value="106">Jamaica</option>
                                                        <option value="107">Japan</option>
                                                        <option value="108">Jordan</option>
                                                        <option value="109">Kazakhstan</option>
                                                        <option value="110">Kenya</option>
                                                        <option value="111">Kiribati</option>
                                                        <option value="113">Korea, Republic of</option>
                                                        <option value="114">Kuwait</option>
                                                        <option value="115">Kyrgyzstan</option>
                                                        <option value="116">Lao People's Democratic Republic</option>
                                                        <option value="117">Latvia</option>
                                                        <option value="118">Lebanon</option>
                                                        <option value="119">Lesotho</option>
                                                        <option value="120">Liberia</option>
                                                        <option value="121">Libyan Arab Jamahiriya</option>
                                                        <option value="122">Liechtenstein</option>
                                                        <option value="123">Lithuania</option>
                                                        <option value="124">Luxembourg</option>
                                                        <option value="125">Macau</option>
                                                        <option value="126">Macedonia</option>
                                                        <option value="127">Madagascar</option>
                                                        <option value="128">Malawi</option>
                                                        <option value="129">Malaysia</option>
                                                        <option value="130">Maldives</option>
                                                        <option value="131">Mali</option>
                                                        <option value="132">Malta</option>
                                                        <option value="133">Marshall Islands</option>
                                                        <option value="134">Martinique</option>
                                                        <option value="135">Mauritania</option>
                                                        <option value="136">Mauritius</option>
                                                        <option value="137">Mayotte</option>
                                                        <option value="138">Mexico</option>
                                                        <option value="139">Micronesia, Federated States of</option>
                                                        <option value="140">Moldova, Republic of</option>
                                                        <option value="141">Monaco</option>
                                                        <option value="142">Mongolia</option>
                                                        <option value="143">Montserrat</option>
                                                        <option value="144">Morocco</option>
                                                        <option value="145">Mozambique</option>
                                                        <option value="146">Myanmar</option>
                                                        <option value="147">Namibia</option>
                                                        <option value="148">Nauru</option>
                                                        <option value="149">Nepal</option>
                                                        <option value="150">Netherlands</option>
                                                        <option value="151">Netherlands Antilles</option>
                                                        <option value="152">New Caledonia</option>
                                                        <option value="153">New Zealand</option>
                                                        <option value="154">Nicaragua</option>
                                                        <option value="155">Niger</option>
                                                        <option value="156">Nigeria</option>
                                                        <option value="157">Niue</option>
                                                        <option value="158">Norfolk Island</option>
                                                        <option value="112">North Korea</option>
                                                        <option value="159">Northern Mariana Islands</option>
                                                        <option value="160">Norway</option>
                                                        <option value="161">Oman</option>
                                                        <option value="162">Pakistan</option>
                                                        <option value="163">Palau</option>
                                                        <option value="164">Panama</option>
                                                        <option value="165">Papua New Guinea</option>
                                                        <option value="166">Paraguay</option>
                                                        <option value="167">Peru</option>
                                                        <option value="168">Philippines</option>
                                                        <option value="169">Pitcairn</option>
                                                        <option value="170">Poland</option>
                                                        <option value="171">Portugal</option>
                                                        <option value="172">Puerto Rico</option>
                                                        <option value="173">Qatar</option>
                                                        <option value="174">Reunion</option>
                                                        <option value="175">Romania</option>
                                                        <option value="176">Russian Federation</option>
                                                        <option value="177">Rwanda</option>
                                                        <option value="178">Saint Kitts and Nevis</option>
                                                        <option value="179">Saint Lucia</option>
                                                        <option value="180">Saint Vincent and the Grenadines</option>
                                                        <option value="181">Samoa</option>
                                                        <option value="182">San Marino</option>
                                                        <option value="183">Sao Tome and Principe</option>
                                                        <option value="184">Saudi Arabia</option>
                                                        <option value="185">Senegal</option>
                                                        <option value="186">Seychelles</option>
                                                        <option value="187">Sierra Leone</option>
                                                        <option value="188">Singapore</option>
                                                        <option value="189">Slovak Republic</option>
                                                        <option value="190">Slovenia</option>
                                                        <option value="191">Solomon Islands</option>
                                                        <option value="192">Somalia</option>
                                                        <option value="193">South Africa</option>
                                                        <option value="194">South Georgia &amp; South Sandwich Islands</option>
                                                        <option value="195">Spain</option>
                                                        <option value="196">Sri Lanka</option>
                                                        <option value="197">St. Helena</option>
                                                        <option value="198">St. Pierre and Miquelon</option>
                                                        <option value="199">Sudan</option>
                                                        <option value="200">Suriname</option>
                                                        <option value="201">Svalbard and Jan Mayen Islands</option>
                                                        <option value="202">Swaziland</option>
                                                        <option value="203">Sweden</option>
                                                        <option value="204">Switzerland</option>
                                                        <option value="205">Syrian Arab Republic</option>
                                                        <option value="206">Taiwan</option>
                                                        <option value="207">Tajikistan</option>
                                                        <option value="208">Tanzania, United Republic of</option>
                                                        <option value="209">Thailand</option>
                                                        <option value="210">Togo</option>
                                                        <option value="211">Tokelau</option>
                                                        <option value="212">Tonga</option>
                                                        <option value="213">Trinidad and Tobago</option>
                                                        <option value="214">Tunisia</option>
                                                        <option value="215">Turkey</option>
                                                        <option value="216">Turkmenistan</option>
                                                        <option value="217">Turks and Caicos Islands</option>
                                                        <option value="218">Tuvalu</option>
                                                        <option value="219">Uganda</option>
                                                        <option value="220">Ukraine</option>
                                                        <option value="221">United Arab Emirates</option>
                                                        <option value="222">United Kingdom</option>
                                                        <option value="223" selected="selected">United States</option>
                                                        <option value="224">United States Minor Outlying Islands</option>
                                                        <option value="225">Uruguay</option>
                                                        <option value="226">Uzbekistan</option>
                                                        <option value="227">Vanuatu</option>
                                                        <option value="228">Vatican City State (Holy See)</option>
                                                        <option value="229">Venezuela</option>
                                                        <option value="230">Viet Nam</option>
                                                        <option value="231">Virgin Islands (British)</option>
                                                        <option value="232">Virgin Islands (U.S.)</option>
                                                        <option value="233">Wallis and Futuna Islands</option>
                                                        <option value="234">Western Sahara</option>
                                                        <option value="235">Yemen</option>
                                                        <option value="236">Yugoslavia</option>
                                                        <option value="238">Zambia</option>
                                                        <option value="239">Zimbabwe</option>
                                                </select>  
                                            </div>
                                          </div>  
                                          <!-- State -->
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                                            </div>
                                          </div>                                               
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                                            </div>
                                          </div>                                                                                                                                         
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											</div>
                                          </div>
                                      </form>
                                    </div>

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